The Atlantic Coast Conference (ACC) has been a collegiate athletic league in the NCAA since 1953 and of the 25 sports the conference is sanctioned to compete in the men’s basketball program is by far the most successful. Primarily due to coaching legends Everett Case (North Carolina State) and Frank McGuire (North Carolina) the ACC began mobilizing into the men's basketball spotlight in 1957 when McGuire led North Carolina to a National Championship. Castleman D. Chesley created a five-station television network to broadcast the regular season games and from the point on the ACC basketball program gained popularity.

Home to two of the most historic basketball programs in the NCAA, Duke and North Carolina seem to find their way to the NCAA Tournament year in and year out. Nine of the twelve Championships captured by the ACC have been from these two programs with North Carolina leading Duke 5 to 4. The remaining three titles have come from NC State (2) and Maryland (1) and though the titles are brought in by only 4 teams, 8 of the 12 members of the ACC have advanced to the Final Four at least once.

The ACC basketball program holds on to a tradition that makes them unique from other Division 1 college basketball conferences. In 1961 the ACC eliminated the regular season title and has since declared the winner of the ACC Tournament as the league champion. Though the ACC chooses not to recognize the regular season titles the conference does use them to declare top seeds in the ACC Tournament. When the conference expanded to 12 teams they could no longer support a schedule that consisted of a home-and-away series between each team. The new scheduling manner assigned each team with two permanent partners to play a home-and-away series each year and nine rotating partners over a three-year period to play in either a home-and-away series, home only, or away only.

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